| NPI | 1477665875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY BEHROOZ SHEIDAYI President 949-650-5771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7800) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-02-18 |